NPI | 1740047059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11023778) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11023778) |
363LF0000X Nurse Practitioner, Family (Licence: FL 11023778) | |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-04 |